A client is receiving a continuous infusion of streptokinase (Streptase). The client suddenly complains of a difficulty of breathing, itchiness, and nausea. Which of the following should be the priority action of the nurse? A. Stop the infusion and notify the physician. B. Administer protamine sulfate and provide oxygen therapy. C. Administer… Read More »
A client with deep vein thrombosis is receiving Streptokinase (Streptase). The nurse would notify the physician if which of the following assessments is noted? A. A temperature of 99.2° Fahrenheit. B. A pulse rate of 99 beats per minute. C. A respiratory rate of 25 breaths per minute. D. A blood… Read More »
A client who is receiving streptokinase therapy suddenly had a nosebleed. The nurse ensures the availability of which of the following medication? A. vitamin K (Mephyton) B. deferoxamine (Desferal) C. aminocaproic acid (Amicar) D. diphenhydramine (Benadryl) Correct Answer: C. aminocaproic acid (Amicar) Bleeding can be reversed with… Read More »
A nurse is providing health teachings regarding antiplatelet medications. Which of the following is not true regarding the use of this medication? A. Antiplatelet medication inhibits the aggregation of platelets in the clotting process, thereby prolonging bleeding time. B. Antiplatelet medications cannot be used with anticoagulants. C. Take the medication with food to prevent… Read More »
A client is receiving procainamide (Procanbid) for the treatment of ventricular arrhythmia. The client suddenly complains of nausea and drowsiness. Which of the intervention should the nurse do first? A. Check the blood pressure and heart rate. B. Do a 12-lead electrocardiogram right away. C. Measure the heart rate on the rhythm strip.… Read More »
Amrinone (Inocor) is used for short term therapy for CHF and acts by which of the following mechanisms? A. Increasing stroke volume and heart rate. B. Slowing ventricular rate and increasing cardiac output. C. Vasodilating and increasing peripheral vascular resistance. D. Increasing cardiac output and enhancing renal perfusion. … Read More »
A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following? A. Observe for neurological changes. B. Monitor for any signs of renal failure. C. Check the food diary. D. Observe for signs of bleeding. … Read More »
A nurse is caring for a client who is taking digoxin (Lanoxin) 0.25mcg tab once a day. The client suddenly complaints of anorexia, nausea, vomiting, and diarrhea. The physician is ruling a digoxin toxicity. As a nurse, you know the therapeutic digoxin rate is? A. 0.25-0.5 ng/ml B. 0.5-2 ng/ml C. 1.5-3… Read More »
A nurse is monitoring a client who is taking carvedilol (Coreg CR). Which of the following assessment made by the nurse would warrant a possible complication with the use of this medication? A. Baseline blood pressure of 160/100 mm hg followed by a blood pressure of 120/70 mm hg after 3 doses. B.… Read More »
A nurse is interviewing a client who is about to receive metoprolol. Upon the history taking, the client is also taking insulin. Which of the following statements made by the nurse will correctly explain the possible interaction of these medications? A. “This medication will maintain the blood sugar level on a normal range”. … Read More »